Individual
DAQUINNDA HORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
718 W 75TH ST, SHREVEPORT, LA 71106-3616
(318) 518-8710
Mailing address
718 W 75TH ST, SHREVEPORT, LA 71106-3616
(318) 518-8710
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
—
LA
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/20/2023
Last updated
12/28/2023
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